Provider Demographics
NPI:1871658732
Name:WESTMORELAND, PAMELA MARTINEZ (DMD)
Entity Type:Individual
Prefix:DR
First Name:PAMELA
Middle Name:MARTINEZ
Last Name:WESTMORELAND
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1941 W COUNTY ROAD 419
Mailing Address - Street 2:SUITE 1061
Mailing Address - City:CHULUOTA
Mailing Address - State:FL
Mailing Address - Zip Code:32766-9554
Mailing Address - Country:US
Mailing Address - Phone:407-977-7797
Mailing Address - Fax:
Practice Address - Street 1:1941 W COUNTY ROAD 419
Practice Address - Street 2:SUITE 1061
Practice Address - City:CHULUOTA
Practice Address - State:FL
Practice Address - Zip Code:32766-9554
Practice Address - Country:US
Practice Address - Phone:407-977-7797
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-22
Last Update Date:2015-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN17180122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist